Office of Emergency Preparedness

Bioterrorism Hospital Preparedness Program Hospital Preparedness Education and Training Guidance Office of Emergency Preparedness

Purpose This guidance is a resource tool listing of emergency preparedness core competencies. It was developed to ensure competent, prepared healthcare personnel. Its purpose is to assist the user in providing competency-based emergency preparedness training. The goal is to provide a framework to assist in planning for and facilitate competency-based training in the event of an all hazards incident in the State of Minnesota. The guidance supports hospital or healthcare facility needs by referencing competency-based training for personnel. This training will assist personnel to be competent in their personal responsibilities at work and at home. This training guidance also creates a standardized foundation for healthcare professionals in the State of Minnesota to assist in reciprocity of statewide support to one another. Scope This guidance serves as the first step in directing the user to assess training needs for the personnel of the facility, department or service area. It provides a list of core competencies, and further detailed, sub-competencies. Further, it defines awareness, knowledge, and proficient levels of competency-based training and options for target personnel to receive training in order to develop a training plan for personnel. Following the development of a training plan, the training resources and curricula themselves can be found through links located on the website at http://www.health.state.mn.us/oep/training/bhpp/index.html. The information provided in the guidance documents is aligned with the training resources on the website. INTRODUCTION We recommend that hospital and clinic administrators and key planners become familiar with this guidance and adapt it to each facility and department, as applicable. The Minnesota Department of Health (MDH) recognizes that emergency preparedness competency-based training is evolving and changes may determine a need to refine the competencies, indicators, and guidance. 1.1

1.2 Background The Education and Training Advisory Group was convened in January 2005 to address the education and training needs of healthcare personnel statewide. The group was asked to develop and initiate an Education and Training Plan to: ensure that competency-based emergency preparedness training is provided to healthcare personnel across the state; increase and enhance the communication and coordination of competency-based emergency preparedness education and training between the MDH and the healthcare personnel across the state; and design/establish a system for tracking and reporting the number of healthcare personnel educated and trained in competency-based emergency preparedness programs annually. The charge of the group was initiated from the Bioterrorism Hospital Preparedness Program as part of The National Bioterrorism Hospital Preparedness Program, FY 2004 Continuation Guidance. This program states that, Awardees will utilize competency-based education and training programs for adult and pediatric pre-hospital, hospital and outpatient health care personnel responding to a terrorist incident. This program also states that, Competency-based education and training are a means by which the health care workforce can both acquire the knowledge, skills and abilities required in a response and demonstrate the interaction of these elements in a given context, either in drills, exercises or training evaluations. Competency-based education focuses on the application of knowledge into observable outcomes or behaviors and is characterized by greater workplace relevance. It was with these charges that the group was convened and has moved forward to support the following guidance. The Education and Training Advisory Group has rural and urban statewide representation from key partners including, but not limited to, the, Regional Hospital Resource Center Coordinators, hospitals and clinics representatives, Infection Control Practitioners, State Board of Nursing, and academic institutions. Vision In support of competent, prepared healthcare personnel during an all hazards incident, a Learning Management System (LMS) is an integral component for tracking, training, and reporting staff emergency preparedness training. At this time, the is in the process of finalizing a contract for an LMS for the hospital, clinic and public healthcare workforce to utilize to manage staff training. Currently, the MDH website will serve to access training, and the tracking and reporting of staff training will be managed internally at each facility. Once an LMS is in place, training will be provided as you incorporate it into your education and training efforts. Further, implementation and completion of training by identified healthcare personnel who would be responding in an event may be adapted by each facility.

The guidance documents and website - Overview The guidance document was designed to assist the user in identifying personnel and applicable training toward emergency preparedness core competencies. You may opt to use the guidance documents as a reference and orientation to competencies in emergency preparedness and to determine a plan for training personnel, or you may start at the website - http://www.health.state.mn.us/oep/training/ bhpp/index.html. The website contains the repository of competency-based training resources and curricula. Using the guidance documents The guidance documents are to be used as a reference and to guide the development of a plan for training personnel. The guidance documents provide the following: list of the emergency preparedness competencies and sub-competencies to ensure personnel s ability to carry out their responsibilities; definitions of awareness, knowledge, and proficient levels of competency-based training; levels of training anticipated for target personnel; and examples of target personnel to receive training The Healthcare Personnel Emergency Preparedness (HPEP) Competencies outlines broad competencies, as well as sub-competencies in emergency preparedness. However, the training plan can be developed and initiated beginning with the broad competencies. Training and measurement can be tailored or enhanced through stepwise implementation based on the existing level of competency of the personnel in the facility. The Healthcare Personnel Emergency Preparedness (HPEP) Training Level Assignments provides a framework to begin to identify key personnel for emergency preparedness competency-based training and to guide the key personnel s anticipated level of training. The level of training will depend on the trainees planned functional roles in a response. Please note: A) The competencies listed on the HPEP Training Level Assignments are an abbreviated version of the HPEP Competencies. The HPEP Training Level Assignments list the broad competencies and some of the sub-competencies from the complete list in the HPEP Competencies. This abbreviated version, HPEP Training Level Assignments, was written with the assumption and acknowledgement that a given training curriculum might include some, but not necessarily all, sub-competencies. Refer to the HPEP Competencies to determine sub-competencies included in a given training. B) The dark shaded areas under the Target Personnel columns in the HPEP Training Level Assignments indicate that the competency does not apply to said personnel. Assumptions: * References to special populations include, but are not limited to, persons with complex medical issues, persons with disabilities, persons with language, hearing and sight issues, women who are pregnant or breast feeding, and multi-ethnic, multi-cultural, pediatric, and geriatric populations. * All hazards events are complex and will have individual differences. HOW TO USE THIS GUIDE 1.3

Using the website The website provides the repository of competency-based training resources and curricula. They are found through links located on the website at http://www.health.state.mn.us/oep/training/bhpp/index.html. The training resources on the website are listed by topic area and the topic areas are directly related to the competencies in the guidance documents. Each topic area links to specific curricula for trainings in that topic area. The following information is provided for each training curriculum: brief description; level of training; target personnel; training materials or the direct URL address to online training; and emergency preparedness competencies addressed To see more information about a specific training curriculum, click on the specific curriculum. This will link to the training source via its URL address, where you may enter to see more information on the training or to begin the training, if desired. 1.4

Mark Lappe Eric Weller Cheryl Stephens Mickey Scullard Ralph Morris Linda Mash Liz Mangold Laurel Anderson Christina Rich Sue Larson Andrea Hickle Mariclaire England Carol O Boyle Pam Nelson Hennepin County Medical Center Regional Hospital Resource Center Coordinator Immanuel St. Joseph s Hospital Regional Hospital Resource Center Coordinator Community Health Information Collaborative Regional Hospital Resource Center Coordinator St. Cloud MDH District Office Public Health Preparedness Consultant Bemidji MDH District Office Public Health Preparedness Consultant Minnesota Nurses Association Staff Specialist, Education Minnesota Organization of Nurse Leaders Chippewa County-Montevideo Hospital Minnesota Hospital Association Director, Health Policy Minnesota Medical Association Director of Health Law University of Minnesota Center for Public Health Preparedness University of Minnesota School of Public Health Minnesota Board of Nursing MDH State Taskforce on Bioterrorism University of Minnesota School of Nursing Bethel University Assistant Professor Pat Bertschinger Cheryl Kroeber Emily Parsons Emily Litt Paula Snippes Randy Graham Jayne Griffith Steve Shakman Wendy Legge Tom Glancy Tim Held Park Nicollet Health Services/Methodist Hospital Laboratory/Microbiology Supervisor Education and Training Coordinator Bioterrorism Hospital Preparedness Program Bioterrorism Hospital Preparedness Program Laboratory Laboratory Epidemiology Legal Services Legal Services Information Technology Trauma Coordinator Jo-Ann Champagne Emergency Medical Services Planner Nancy Carlson Sondra Visser Carol Fahje Sue Gustafson Behavioral Health Cambridge Medical Center Allina Health System St. Mary s Hospital Mayo Health System Children s Hospitals and Clinics of Minnesota Infection Control Practitioner EDUCATION AND TRAINING ADVISORY GROUP, JUNE 2005 Brenda Smith Stevens Community Medical Center West Central Region Bioterrorism Hospital Preparedness 1.5

1.6 Peggy Granberg Wheaton Community Hospital West Central Region Bioterrorism Hospital Preparedness Program Courtney Danzeisen Hennepin County Public Health Protection Emergency Preparedness-Metro Clinic Coordination Workgroup Elizabeth Stor Sarah Olson Louis Erdrich Carol Bode Alyssa Stenson Kari Rateliff Richard Lally Barb Bor Cindy Bryant Michael Olesen Claudia Hines Kim Thon Scenic River Health System Scenic River Health Clinic HealthEast Care System HealthEast Maplewood Clinic Red Lake Safety Officer Range Regional Health Service Safety Officer Clearwater Health Services Inservice Coordinator Children s Hospitals and Clinics of Minnesota Accreditation & Magnet Coordinator North Memorial Health Care Infection Control Fairview Northland Infection Control Association for Professionals in Infection Control and Epidemiology HealthEast Care System-St. Joseph s Hospital Corporate Infection Control Specialist Abbott-Northwestern Hospital Allina Health System Children s Hospital & Clinics of Minnesota Emergency Medical Services for Children Resource Center Central Minnesota Emergency Medical Service Emergency Medical Service References The National Bioterrorism Hospital Preparedness Program, FY 2004 Continuation Guidance The Council on Linkages Between Academia and Public Health Practice Bioterrorism and Emergency Readiness: Competencies for All Public Health Workers, Center for Health Policy, Columbia University School of Nursing Hennepin County Medical Center Hospital Emergency Incident Command System Glencoe Hospital Emergency Incident Command System Contact Information The : Office of Emergency Preparedness, Bioterrorism Hospital Preparedness Program at oep@health.state.mn.us